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How Long Do Botox® & Fillers Last?

When it comes to facial rejuvenation, Botox® and dermal fillers are two of the most popular non-surgical treatments available today. They smooth lines, restore youthful volume, and refresh your look without downtime.

One of the most common questions patients ask is: how long do Botox and fillers last? Botox typically lasts 3 to 4 months, while dermal fillers can last anywhere from 6 months to 2 years or more depending on the product and treatment area. Every face is unique, and results vary, which is why choosing an experienced injector is the best way to ensure safe, beautiful, and long-lasting outcomes.

As a board-certified plastic surgeon in McLean, VA, Dr. Erica Anderson has helped countless patients in the Washington, DC area enhance their appearance with injectables. Here, she shares what you can realistically expect from Botox and fillers, along with tips to make your results last as long as possible.

How Long Does Botox Last?

Botox (along with similar neuromodulators like Daxxify, Dysport, and Xeomin) works by temporarily relaxing the muscles that cause wrinkles. It is especially effective for:

  • Frown lines between the brows (“11” lines)
  • Horizontal forehead creases
  • Crow’s feet around the eyes

Typical duration: Most patients enjoy smoother skin for 3 to 4 months. Some notice results beginning to fade at the 3-month mark, while others may maintain benefits for up to 5 or even 6 months depending on their unique response.

Why consistency matters: Over time, with regular treatments, the targeted muscles can “learn” to stay more relaxed. This often extends the time between sessions and helps prevent deeper wrinkle formation.

How Long Do Fillers Last?

Dermal fillers are designed to restore lost volume, soften folds, and enhance facial features such as the lips or cheeks. The longevity of fillers depends on the type of filler used and the area treated.

Hyaluronic Acid (HA) Fillers (Juvéderm, Restylane)

  • Lips: 6–12 months
  • Cheeks & midface: 12–18 months (sometimes up to 24 with thicker products like Voluma)
  • Nasolabial folds (smile lines): Around 9–12 months
  • Under-eyes: 12–18 months

Calcium Hydroxylapatite (Radiesse)

  • Adds deep structural support
  • Lasts 12–18 months

Poly-L-Lactic Acid (Sculptra)

  • Stimulates collagen production gradually
  • Results can last up to 2 years with a series of treatments

PMMA (Bellafill)

  • Considered semi-permanent, with results that can last 5 years or longer

Fat Transfer

  • Uses your own fat for long-lasting volume restoration
  • Can last 1–3 years depending on fat survival

What Affects How Long Botox and Filler Results Last?

While general timelines are helpful, several factors influence how long Botox and fillers last for you personally:

  • Treatment area: Lips and other high-movement areas metabolize filler faster than cheeks or under-eyes.
  • Metabolism: A faster metabolism breaks down injectables more quickly.
  • Lifestyle factors: Smoking, sun exposure, and poor skincare can shorten results.
  • Product choice: Thicker fillers and advanced neuromodulators generally last longer.
  • Injector technique: Expertise in placement and dosing makes a big difference in both longevity and safety.

How to Make Your Botox and Filler Results Last Longer

Dr. Anderson recommends a few strategies to maximize your Botox and filler treatments:

  • Schedule maintenance appointments before results fully fade to “train” your muscles and maintain volume.
  • Choose FDA-approved products and an experienced, board-certified injector.
  • Protect your skin with daily SPF, hydration, and a healthy lifestyle.
  • Combine treatments strategically, as pairing Botox with fillers often creates longer-lasting, natural-looking balance.

Why Choose Dr. Erica Anderson for Botox & Fillers in McLean, VA?

With more than 20 years of experience, Dr. Anderson combines artistic vision with advanced medical training to deliver subtle, natural results. Patients trust her for her:

  • Board-certification and Ivy League training
  • Thoughtful, patient-first approach
  • Commitment to natural enhancements rather than an “overdone” look
  • Convenient McLean, VA location, serving patients across Northern Virginia and the greater Washington, DC metro area

Explore more about Dr. Anderson’s background.

Schedule Your Consultation

If you’re curious about Botox or dermal fillers and want to know which option is right for you, schedule a consultation with Dr. Erica Anderson in McLean, VA. Together, you can create a personalized treatment plan designed to refresh your look while keeping results natural.Learn more about Botox and fillers in Northern Virginia by calling (703) 893-1111 or completing our online form to schedule your consultation today. We look forward to hearing from you!

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